Corpus luteum rupture

Introduction The corpus luteum rupture is one of the common acute abdomen diseases in gynecology. It occurs in young women between the ages of 14 and 30. Therefore, some people call it "young killer." In fact, the damage caused by rupture of the corpus luteum varies from person to person, and the clinical symptoms and performance are also very different. Some may have only a sudden but very slight pain in the lower abdomen. The capillaries in the ruptured corpuscle heal themselves, and a small amount of blood that flows out absorbs itself without leaving any sequelae. Some may have severe and unbearable abdominal pain, which is the rupture of blood vessels in the secondary corpuscle, and the blood flows to the abdominal cavity, causing persistent abdominal pain. In severe cases, hemorrhagic shock may occur, manifested as sweating, dizziness, headache, and blood pressure drop. Cold limbs, etc., if the treatment is not timely, it can endanger life.

Cause

First, automatic rupture. Under normal circumstances, there is a small amount of bleeding in the corpus luteum, but if there is too much bleeding, it may increase the pressure in the corpuscle, resulting in spontaneous rupture. Some people think that during lutealization, dysfunction, prone to capillary bleeding in the corpus luteum, leading to rupture of the corpus luteum.

Second, the result of external forces. When the following abdomen is hit, and when jumping, running, coughing, or dissolving the stool, the pressure in the abdominal cavity suddenly rises, which may cause the mature corpus luteum to rupture. In addition, female sexual genital expansion and congestion during sexual life, increased tension in the yellow body, coupled with the man's rude motion, the woman's lower abdomen is strongly impacted, can also lead to rupture of the corpus luteum.

an examination

Related inspection

Obstetric B ultrasound gynecological examination laparoscopy

1. The patient has no history of menopause, and the onset is often in the middle of two menstrual periods or in the premenstrual period, and the history of sexual intercourse.

2. The onset of illness is sudden, the lower abdomen suddenly has severe pain, and after a short time, it becomes a continuous falling pain, which can be gradually reduced or turned. A small number of patients may have nausea and vomiting. Generally no vaginal bleeding (external bleeding), severe internal bleeding may have shock and rectal irritation.

3. Abdominal examination: There is obvious tenderness and rebound tenderness. More internal bleeding, percussion has mobile dullness, vaginal examination, normal size of the uterus, tenderness after the sputum, the attachment can touch the soft mass of the unclear boundary, there is tenderness.

4. White blood cell count and classification, red blood cells and hemoglobin decreased.

Differential diagnosis

Luteal rupture often occurs on the right side, but lacks typical symptoms and should be differentiated from acute appendicitis, tubal pregnancy rupture or miscarriage.

1, acute appendicitis: appendicitis (Appendicitis) refers to the inflammatory changes of the appendix due to a variety of factors. It is a common disease whose prognosis depends on timely diagnosis and treatment. Early diagnosis and treatment, patients can recover in a short period of time, the mortality rate is extremely low (o.1% - 0.2%), if the delay diagnosis and treatment can cause serious complications, and even cause death. Appendicitis is a common disease. Clinically, there are often lower right abdominal pain, elevated body temperature, vomiting and neutrophilia. Appendicitis is inflammation of the appendix, the most common abdominal surgical disease.

2, tubal pregnancy rupture: the egg is fertilized in the ampulla of the fallopian tube, the fertilized egg is blocked in the fallopian tube for some reasons, and implantation, development, and tubal pregnancy occur in a part of the fallopian tube. The ampullary abdomen is the most common, accounting for 50 to 70%, followed by the isthmus, accounting for 30 to 40%, and the umbrella and interstitial parts are the least, accounting for 1-2%.

3, abortion: abortion is a common disease in obstetrics and gynecology, the main symptoms are bleeding and abdominal pain. If improperly handled or not handled in time, it may leave inflammation of the reproductive organs, or endanger the health of pregnant women due to major bleeding, and even threaten life. Abortion is easily confused with certain diseases of gynecology. Pregnancy is terminated before 28 weeks, and the fetus weighs less than 1000 grams and is called a miscarriage. Abortion occurs before 12 weeks of gestation and is called early abortion. The latter occurred in 12 weeks, called late abortion.

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